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13184946 | Heart size is top normal in size and appears minimally increased in size from the prior study, which may in part be due to differences in inspiration. The mediastinal contours are mildly widened when compared to prior study . Lung volumes are slightly lower than on the prior study. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. | 51524258 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with pleuritic chest pain // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None. | Slightly low lung volumes. Clear lungs. Cardiac size appears minimally increased from the prior examination, which may be due to decreases in inspiration however if there is clinical concern for mediastinal pathology or pericardial effusion, consider CT. |
13727153 | There are bibasilar opacities, right greater than left, likely atelectasis. Superiorly, the lungs are clear. Moderate cardiomegaly is again noted as well as tortuosity of the enlarged descending thoracic aorta as on prior. Left chest wall dual lead pacing device is again noted. No acute osseous abnormalities. | 59706821 | INDICATION: ___M with SOB // r/o acute process TECHNIQUE: AP and lateral views the chest. COMPARISON: ___ chest x-ray and CT torso from ___. | Bibasilar opacities likely atelectasis, infection cannot be entirely excluded. |
13983096 | Assessment is somewhat limited by patient positioning. Lung volumes are low. Cardiac silhouette size is borderline enlarged but unchanged. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified on this supine exam. No acute osseous abnormality is detected. | 55930247 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath, seizure TECHNIQUE: Portable supine AP view of the chest COMPARISON: ___ chest radiograph | Low lung volumes with probable bibasilar atelectasis. |
13826354 | The heart is borderline in size. There is moderate unfolding and calcification along the thoracic aorta. Streaky retrocardiac opacities, probably refering to the left lower lobe, obscure the contour of the left hemidiaphragm. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Small anterior osteophytes are present throughout the thoracic spine. | 55896939 | CHEST RADIOGRAPHS HISTORY: Atrial fibrillation. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | Streaky basilar opacities, more suggestive of atelectasis than infection. If pulmonary symptoms concerning for pneumonia are present, however, then short-term follow-up radiographs may be helpful. Developing infection is not excluded. |
13475368 | Lungs appear clear with possible mild hyperinflation. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax or pleural effusion. No evidence of lymphadenopathy or mass lesion. | 59545044 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with generalized pruritus // Lymphadenopathy TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___ | No evidence of lymphadenopathy. No acute cardiopulmonary process. |
13062323 | Persistence of a small left apical pneumothorax. The right pleural surfaces are normal. The lung volumes are slightly decreased compared to prior. Increased bibasilar opacities, right > left. A moderate amount of peribronchial coughing likely consistent with mild pulmonary vascular congestion and mild interstitial edema. The cardiomediastinal and hilar contours are stable. The mildly displaced lateral left sixth rib fracture is not as well visualized as on prior chest radiograph. | 58554799 | INDICATION: ___ year old man with pneumothorax s/p fall. Please perform at 9AM // ?interval change, please perform at 9AM TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | Persistence of small left apical pneumothorax. Mild pulmonary vascular congestion and interstitial edema. Worsening bibasilar atelectasis with possible secondary superimposed process the in the right lower lobe such as aspiration or developing infectious pneumonia. |
13887386 | There is diffuse ground glass and nodular opacity within the left lung which spares the apex, concerning for pneumonia or aspiration. Allowing for low lung volumes, the right lung is clear. There is no pleural effusion or pneumothorax. Allowing for differences in technique, the heart size is unchanged. | 57756635 | INDICATION: History of seizures and recent cough and fever, evaluate for acute infectious process. COMPARISONS: Reference chest radiograph ___. SINGLE AP VIEW OF THE | Left lung nodular and ground-glass opacity concerning for aspiration or pneumonia. |
13887386 | AP upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 57575939 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with productive cough x1wk, fever today COMPARISON: ___ | No acute intrathoracic process. |
13239393 | The heart is moderately enlarged. A dual lead pacemaker is again visualized. There is pulmonary vascular redistribution and ill-defined vasculature predominantly on the right. There is volume loss in both lower lungs. there is obscuration of the right hemidiaphragm compatible with infiltrate/volume loss in this region. There is a small right effusion. There is a small left effusion. The patient is status post sternotomy with sternal wires and mediastinal clips. | 50866888 | HISTORY: Gangrenous toe ulcer. Pre-op. COMPARISON: ___. | CHF. An underlying infectious infiltrate, particularly in the right lower lobe cannot be excluded. |
13734294 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50334643 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob, anterior chest pain x1 day // eval for consolidation COMPARISON: None | No acute intrathoracic process. |
13270004 | Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no focal consolidation, pleural effusion, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is a tubular opacity in the left mid lung at the ___ posterior rib level. Partially imaged upper abdomen is unremarkable. | 52958619 | INDICATION: Intoxicated patient, status post trauma. COMPARISONS: None available. | Low lung volumes. Tubular opacity in the left mid lung very likely represents superimposition of normal vessels and less likely a vascular malformation of mucous plugging. Repeat radiographs with shallow oblique views may be helpful for further assessment. |
13513122 | AP portable view of the chest. There are patchy, predominantly basilar and central opacities consistent with moderate-to-severe pulmonary edema. The costophrenic angles are not well visualized and there are small bilateral pleural effusions. There are more confluent opacities in the right lung base. No pneumothorax. | 52668985 | INDICATION: End-stage renal disease, no dialysis today, shortness of breath, and hypoxia. COMPARISON: Chest radiograph on ___. | Moderate-to-severe pulmonary edema. Cannot completely rule out pneumonia at the right lung base. Small bilateral pleural effusions. |
13513122 | The cardiac and mediastinal silhouettes similar in appearance to prior. There has been interval clearing of bibasilar opacities seen on the most recent prior. There is no effusion. No pneumothorax. Stable appearance of the visualized bony thorax. | 54661785 | INDICATION: Evaluate right lower lobe infiltrate for interval change. TECHNIQUE: Single AP portable view chest. COMPARISON: ___. | Interval improvement in the appearance of the lung bases with clearing of previously identified parenchymal opacities. |
13573972 | The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 54863067 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Chest pain and shortness of breath. Question pneumothorax or intrathoracic process. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None available. | No acute cardiopulmonary process. |
13441813 | The lungs are hyperinflated with relative attenuation of the pulmonary vascular markings towards the apices compatible with underlying emphysema. Heart size is normal. The mediastinal and hilar contours are unremarkable and unchanged. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is visualized. There are multilevel degenerative changes in the thoracic spine with marked dextroscoliosis re- demonstrated. | 50344310 | HISTORY: Epigastric pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___. Chest radiograph ___. | Emphysema. No acute cardiopulmonary abnormality otherwise detected. |
13460012 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air under the hemidiaphragms. The osseous structures are unremarkable. | 58252561 | INDICATION: Malaise and weakness. Evaluate for pneumonia. COMPARISONS: None. | No acute cardiopulmonary process. |
13460012 | The lungs are clear without focal consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. | 57801982 | INDICATION: ___F with confusion // Infiltrate? TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary process. |
13387877 | Bilateral low lung volumes. Linear atelectasis of the left lung base noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Left PICC with tip in the right proximal atrium and may be pulled back slightly with desired position is in the cavoatrial junction. There are dilated loops of bowel seen in the upper abdomen. | 59945377 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with prior tonsillar SCC here with new MDStreated with decitabine. New left arm/shoulder pain. // Eval etiology of left arm/shoulder pain TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___. | Multiple dilated loops of bowel seen in the upper abdomen Left lower lobe linear atelectasis. Left PICC tip in the proximal right atrium, may be pulled back slightly if desired positioning caval atrial junction |
13387877 | The tip of the left PICC line in and projects over the the superior cavoatrial junction. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits. | 50749855 | INDICATION: ___ year old man with diarrhea. Has PICC // PICC eval TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Clear lungs. The tip of the PICC line extends to the superior cavoatrial junction. |
13387877 | Low bilateral lung volumes. Minimal left basilar atelectasis. No pleural effusion or pneumothorax identified. The size and appearance of the cardiomediastinal silhouette is unchanged. | 57410696 | INDICATION: ___ year old man leukemia and new O2 requirement // Pleural effusions, volume overload, pna TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier today | New minimal left basilar atelectasis. Low bilateral lung volumes. |
13387877 | The lung volumes are relatively low and there is lordotic positioning. The cardial mediastinal silhouette is within normal limits for low inspiratory volumes. Slight indistinctness at the right costophrenic angle is noted on the AP view, but there is no gross effusion on the lateral view. . Otherwise, no CHF, focal infiltrate, gross effusion or pneumothorax is detected. There is a compression deformity of indeterminate chronicity in the lower thoracic or upper lumbar spine | 57118096 | WET READ: ___ ___ 8:25 AM 1. No acute cardiopulmonary abnormality. 2. A lower thoracic or upper lumbar spine compression deformity is of indeterminate chronicity. Recommend correlation with history and physical examination. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest radiographs INDICATION: ___M with concern for leukemia vs. ttp vs. mds. TECHNIQUE: Chest PA and lateral COMPARISON: None. | Minimal blunting of the right costophrenic angle. No gross effusion. Otherwise, no acute pulmonary process identified. A lower thoracic or upper lumbar spine compression deformity is of indeterminate chronicity. Recommend correlation with history and physical examination. If further imaging is desired, then CT or MRI could help for further assessment. |
13387877 | Low bilateral lung volumes. Unchanged prominence of the right paratracheal soft tissues and right hilum. No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged. | 58540599 | INDICATION: ___ year old man with MDS/AML, fevers and new hypoxia/tachycardia // Assess for new cardiopulmonary process TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | No significant interval change since the prior study. |
13387877 | Lordotic positioning. Inspiratory volumes are slightly low. Compared to the prior study, I doubt significant interval change. The cardiomediastinal silhouette is probably unchanged. Mild prominence of right paratracheal soft tissues is similar to prior,, though likely accentuated by lordotic positioning. Aorta is minimally unfolded. Heart size is at the upper limits of normal. There is upper zone redistribution, without overt CHF. Bibasilar atelectasis is slightly improved. No new focal opacity. No gross effusion. No pneumothorax detected. | 57189330 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new O2 requirement // ? pul edema COMPARISON: Chest x-ray from ___ at 21:52 | Mild upper zone redistribution without overt CHF. Minimal bibasilar atelectasis, improved compared with ___. No new infiltrate and no effusion identified. |
13100860 | The heart is normal in size. The right cardiac border is slightly obscured which suggests minimal opacification in the right middle lobe, although suggestive of minor atelectasis. Central airways bilaterally are suggestive of airway inflammation, but otherwise the lungs appear clear. Bony structures are unremarkable. There is no pleural effusion or pneumothorax. | 51446029 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | Findings suggestive of airway inflammation including suspected slight right middle lobe atelectasis. No definite pneumonia. If pneumonia is suspected clinically; however, then short-term followup radiographs may be helpful to evaluate further. |
13718930 | Hyperexpansion of the lungs suggestive of chronic obstructive pulmonary disease appears unchanged from prior. No confluent consolidation is identified. There is no pulmonary edema or large pleural effusions. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax. | 51488012 | HISTORY: ___-year-old male with atrial fibrillation. Assess for pneumonia. COMPARISON: Chest radiograph from ___ FRONTAL AND LATERAL CHEST | Hyperexpanded lungs without superimposed acute process |
13192572 | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 56316192 | INDICATION: ___-year-old female with unsteady gait. Evaluate for evidence of pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph. | Unremarkable chest radiographic examination. |
13809869 | Heart size is normal. There has been interval improvement in aeration of the right upper lobe with bulging of the right paratracheal stripe and hilar contour compatible with known lymphadenopathy. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Linear atelectasis is noted within the right upper lobe. There are no acute osseous abnormalities. No pneumomediastinum is seen. | 52726335 | HISTORY: Fever after mediastinoscopy. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and chest CT ___. | Interval improvement in aeration of the right upper lobe. Bulging of the right paratracheal stripe and hilum compatible with underlying lymphadenopathy. No pneumomediastinum is identified. |
13809869 | The lung volumes have slightly decreased since ___. Linear atelectasis in the right upper and left lower lobe is again noted. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. A bulge of the right paratracheal stripe is compatible with known lymphadenopathy. | 53753090 | CLINICAL INDICATION: History of sarcoidosis. One episode of hemoptysis. Evaluation for infiltrate. COMPARISON: Chest radiographs of ___ and ___. | No areas of consolidation. |
13181161 | Endotracheal tube terminates approximately 4 cm from the carina. Enteric tube courses below the left hemidiaphragm and into the stomach. Right subclavian central venous catheter appears to be malpositioned coursing cephalad into the right internal jugular vein. Right-sided dual lumen central venous catheter is demonstrated with leads terminating in the right atrium and right ventricle, unchanged. Heart size is mildly enlarged, increased compared to the previous exam. The aorta is diffusely calcified. Widening of the superior mediastinum is likely due to supine positioning. Mild pulmonary edema is present. Streaky atelectasis is noted in both lung bases, more pronounced on the left. No large pleural effusion or pneumothorax is present, though hazy opacities bilaterally in the lungs may suggest small layering pleural effusions. No large pneumothorax is identified on this supine image. There are no acute osseous abnormalities. | 52921782 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubated transfer with right internal jugular central line placement TECHNIQUE: Portable supine AP view of the chest COMPARISON: ___ | Malpositioned central venous catheter with tip coursing cephalad into the right internal jugular vein. Standard position of the endotracheal and enteric tubes. Increased size of the cardiac silhouette and mild pulmonary edema with likely layering bilateral pleural effusions indicate congestive heart failure. Bibasilar atelectasis. |
13813082 | The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural contours are normal. | 56805996 | EXAMINATION: Chest radiographs. INDICATION: History: ___F with chest pain // eval for ptx TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs: ___. | No acute cardiopulmonary process. |
13813082 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Left upper chest wall deformity is unchanged. | 53235258 | HISTORY: Weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13813082 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 54557730 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain, had abnormal exercise stress test today. H/o GERD, depression, hypertension, former smoker. // Acute process to explain chest pain? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13434145 | Lung volumes are low. There are linear streaky opacities at the lung bases bilaterally, which likely represent atelectasis or scarring. Cardiomediastinal and hilar contours are unchanged. There is no large pleural effusion or pneumothorax. Visualized osseous structures are unremarkable. | 55864541 | INDICATION: ___-year-old male with possible TIA, evaluate for pneumonia. COMPARISON: Chest Radiograph ___. TECHNIQUE Frontal and lateral view of the chest. | Bibasilar linear opacities, likely represent atelectasis versus scarring. |
13850233 | Low lung volumes are visualized bilaterally. Left chest tube in place that remains unchanged position. In comparison to prior same-day study there is a decrease an left medial pneumothorax and new increased atelectatic changes at the right lung base. Small left pleural effusion remains unchanged. Re- demonstration of multiple left rib fractures with associated extrapleural blood remains unchanged. | 59700307 | EXAMINATION: Portable upright chest x-ray INDICATION: ___ y/o M with L hemothorax w/ chest tube, now placed from suction to waterseal // interval change- please obtain x-ray at 12:30 TECHNIQUE: Chest portable upright COMPARISON: Comparison is made to chest x-rays dating back to ___ | Small residual left pleural effusion that remains unchanged with decreased left medial pneumothorax. Increased atelectatic changes at the right lung base when compared to prior study. Multiple left rib fractures with extrapleural blood which remains unchanged. |
13850233 | There has been interval placement of a left-sided chest tube with tip terminating near the medial left mid lung field. Small pneumothorax seen on the previous CT exam is not clearly identified on the current study. There has been interval decrease in size of the left pleural effusion, now appearing small to moderate in size. Small amount of subcutaneous emphysema in the left lateral chest wall is noted. Again demonstrated are low lung volumes. The cardiac and mediastinal contours are similar possible small pneumomediastinum noted to the left lateral aspect of the aortic knob. There is crowding of bronchovascular structures without pulmonary edema. Bibasilar patchy opacities likely reflect areas of compressive atelectasis. Multiple displaced left-sided rib fractures are again noted. | 50956795 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest tube placement TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph at 16:26 and CT chest at 13:18 | Interval placement of left-sided chest tube with slight interval decrease in size of the left pleural effusion, now appearing small to moderate in size. Continued bibasilar atelectasis. Multiple left-sided rib fractures are re- demonstrated. |
13850233 | Interval removal of the left chest tube. A trace left apical and left medial pneumothorax are present. Again noted are low bilateral lung volumes with slight decrease in the extent of the bibasilar opacities. A small left pleural effusion is again visualized. The known left rib fractures were better assessed on prior studies. | 55395228 | INDICATION: ___ y/o M s/p chest tube removal // interval change- please obtain at 17:00 TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | Interval removal of the left chest tube. A trace left apical and medial pneumothorax persists. Small left pleural effusion persists with interval decrease in the extent of the bibasilar atelectasis. |
13850233 | The cardiomediastinal silhouette is normal. The hilar contours are unremarkable. Multiple left rib fractures are again seen and stable with interval improvement of lateral pleural thickening suggestive of resolving pleural blood. No focal consolidations, pulmonary edema, or hemothorax are seen. | 51539338 | EXAMINATION: Chest x-ray PA lateral INDICATION: ___ year old man with rib fractures // please re-evaluate rib fractures. TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ through ___. | Multiple stable left rib fractures with decreased extent of left pleural blood. |
13850233 | Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Lung volumes are low with crowding of bronchovascular structures, but no overt pulmonary edema. Opacification of the left base reflects a combination of a moderate size pleural effusion and left basilar atelectasis. Minimal atelectasis is also noted in the right lung base. Known left-sided small pneumothorax is not clearly seen on the current exam. Multiple displaced left-sided rib fractures are again noted. | 56371374 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with pneumothorax TECHNIQUE: Upright AP view of the chest COMPARISON: CT chest ___ at 13:18 from outside institution | No definite pneumothorax seen on the current exam. Moderate left pleural effusion with left basilar opacification likely reflective of compressive atelectasis. Multiple left-sided rib fractures. |
13850233 | There is a left chest tube in place that remains unchanged in position. There is a small residual left pleural effusion unchanged from most recent study. There is residual left pneumothorax that remain stable. Aeration in the left lower lung is improved. There is mild atelectasis of the right lung base which is unchanged. There is re- demonstration of multiple left rib fractures with associated extrapleural blood which remains unchanged. | 53978971 | EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with loculated hemo-PTX // interval eval. PLEASE DO AT 6AM TECHNIQUE: Chest PA and lateral COMPARISON: Compared to chest x-rays dating back to ___ with the most recent being ___. | Small residual left pleural effusion and residual left medial pneumothorax that remains stable. Mild atelectasis of the right lung base which is stable. Multiple left rib fractures with extrapleural blood which remains unchanged. |
13566219 | PA and lateral views of the chest are obtained. The heart size appears normal. The aorta is unfolded. No large pleural effusion or pneumothorax is seen. There is mild prominence of the interstitial markings, which could reflect chronic disease. There is no definite sign of CHF. Bony structures appear intact. There is no free air below the right hemidiaphragm. | 56477154 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Cough and fever, assess pneumonia. | No definite signs of pneumonia. Coarsened interstitial markings likely reflect underlying chronic lung disease. |
13566219 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion or pneumothorax. There is no pulmonary edema. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Right lung base consolidation has resolved. | 54452934 | INDICATION: Patient with right lower lobe consolidation seen on CT exam of ___. COMPARISONS: Chest radiographs of ___. | Right lower lobe consolidation seen on ___ CT exam has resolved. |
13406448 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild scoliosis. | 54216723 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/chest pain, please eval for PTX, mediastinal widening // ___F w/chest pain, please eval for PTX, mediastinal widening TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13809836 | The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures are grossly unremarkable. There is no radiopaque foreign body noted. | 59613536 | HISTORY: Status post PICC removal, now with 5 cm of PICC missing. Assess for foreign body. COMPARISON: Chest radiograph ___. TECHNIQUE: PA and lateral chest radiograph, three views. | No acute intrathoracic process. No evidence of radiopaque foreign body. |
13061694 | In comparison to the prior radiograph performed several hours earlier, there has been interval placement of a left internal jugular catheter that terminates at the low SVC. Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits for technique. | 58667173 | EXAMINATION: Chest radiograph INDICATION: History: ___F with s/p right IJ placement // eval for IJ placement TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___ at 21:49 | Interval placement of a left IJ catheter that terminates at the low SVC. |
13316096 | PA and lateral views of the chest are provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air is seen below the right hemidiaphragm. | 51148134 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Fever, question pneumonia. | No acute intrathoracic process. |
13571561 | Frontal and lateral views of the chest were obtained. Per the radiology technologist, artifact on the AP view is a cigarette lighter in the patient's front pocket. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Minimal degenerative changes are seen along the spine. No displaced fracture identified. | 51827536 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of chest pain after assault. COMPARISON: ___. | No acute cardiopulmonary process. |
13543636 | The lungs are clear and well expanded bilaterally with no areas of focal consolidation, pleural effusion or evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable. | 50483462 | INDICATION: ___-year-old female with cough, hemoptysis and pleuritic chest pain. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | No evidence of infection or malignancy. These findings were reported to Dr. ___ via phone at 9:42 a.m. by ___. |
13342374 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59096010 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with new diffuse wheezing, desaturations on ambulation. // pneumonia? TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13909532 | The cardiac silhouette is normal in size. The thoracic aorta remains mildly prominent but similar in contour compared to the prior study. There is no pulmonary vascular congestion or frank pulmonary edema. Again noted in the right hemithorax is a centrally located spiculated mass in the right infrahilar region, which appears slightly decreased in overall size from the most recent prior chest radiograph, measuring approximately 2.1 cm (previously 3.5 cm). There is no focal consolidation concerning for pneumonia. Left lower lobe atelectasis has improved from the prior study. No significant pleural effusion or pneumothorax is detected. The trachea is midline. The visualized upper abdomen is unremarkable. | 56429569 | INDICATION: Non-small cell lung cancer, currently on chemotherapy, now with fever of unknown origin, here to evaluate for pneumonia. COMPARISON: Chest radiographs, last performed on ___. TECHNIQUE: PA and lateral upright radiographs of the chest. | Slightly decreased size of right infrahilar mass from the most recent prior study of ___. No new focal consolidation concerning for pneumonia. |
13909532 | Portable chest radiograph demonstrates an entirely collapsed right lung. Small loculated air is seen in the right base adjacent to a constant appearing chest tube. There is no new focal consolidation within the left lung. Small basilar atelectasis and effusion is identified at the left base. The right PICC is seen in the low SVC. There is no pneumothorax. | 54319993 | HISTORY: ___-year-old male with collapse of right lung. COMPARISON: Chest radiograph dated ___ at 10:26. | Entirely collapsed right lung. |
13909532 | When compared to film obtained 2 hours prior, there has been no interval change with persistent right fluid-filled pleural space and right Pleurx catheter tip in the right pleural placed air pocket. The left lung appears unchanged with no new opacification. The cardiomediastinal contour is stable. There is no pneumothorax. | 52239497 | HISTORY: ___-year-old male with effusion. COMPARISON: Chest radiograph dated ___ 2 hours prior to current examination. | Persistent right fluid filled pleural space. No significant change from the examination 2 hr prior. |
13909532 | Portable chest radiograph demonstrates complete opacification of the right hemi thorax with minimal rightward mediastinal shift. A right pleural tube is seen at the right base with surrounding loculated air. A right PICC is seen terminating at the low superior vena cava. The left lung is grossly clear with no new focal consolidations. | 51972835 | WET READ: ___ ___ ___ 6:31 PM Near complete opacification of the right hemithorax with rightward mediastinal shift, consistent with postobstructive atelectasis. Right pleural tube and right PICC are in stable position. Left pleural tube appears to have been intervally removed. The posterior left costophrenic angle is indistinct but no substantial pleural effusion is identified on the frontal view. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with non small cell lung cancer. COMPARISON: Chest radiograph dated ___ approximately 7 hours prior to current radiograph. | Complete opacification of the right hemi thorax. No new focal consolidation within the left lung. |
13050559 | A right-sided Port-A-Cath is in stable position. The cardiomediastinal and hilar contours are stable. Postoperative changes of the right hemi thorax are stable. There is no focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. | 51655232 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with lymphoma // Increased shortnes of breath and wheezing. Assess for abnormalities. TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs most recent on ___ | No evidence of pulmonary edema, consolidation or pneumothorax. |
13050559 | No significant interval change from the study earlier today other than interval removal of the right chest tube. Stable appearance of the right paratracheal convexity contributing to widening of the right mediastinum. Overall stable small right apical pneumothorax. Expected post-surgical changes in the right hemithorax. Stable smaller lung volumes. No new focal consolidation to suggest pneumonia. No pleural effusion. Normal heart size. The right port-A-cath is intact and unchanged in position. | 51066996 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with mediastinal B cell lymphoma, status-post recent right thoracotomy and right upper lobectomy with handsewn bronchus closure and intercostal flap overlay. Status-post recent chest tube removal. Concern of increased right paratracheal convexity on CXR earlier this morning; evaluate for interval change. COMPARISON: Chest radiograph from the same day, dated ___, at 09:25h. | Stable appearance of the right mediastinal convexity and small right apical pneumothorax status-post right chest tube removal. |
13050559 | The right Port-A-Cath and right chest tube appear intact and unchanged in position. New small right apical pneumothorax. Interval slight widening and prominence of the right paratracheal convexity. Otherwise, expected post-surgical changes in the right hemithorax. Stable smaller lung volumes. Normal heart size. No focal consolidation to suggest pneumonia. No pleural effusion. | 51623781 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with B cell lymphoma of the mediastinum, status-post right thoractomy and right upper lobectomy with intercostal muscle flap on ___; evaluate for interval changes. COMPARISON: Portable chest radiograph dated ___. | Slight interval widening of the right mediastinal contour, possibly due to a combination of postoperative changes and known intercostal muscle flap. However, an expanding postoperative blood or fluid collection cannot be excluded, and close monitoring and follow-up imaging is recommended. New, small right apical pneumothorax. |
13050559 | Right porta cath terminates in the low SVC. Opacity of the right upper lobe is similar to slightly worsened. There is increased elevation of the middle fissure suggesting worsening volume loss. Right perihilar opacities unchanged. Heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 54557408 | INDICATION: History: ___M with neutropenic fever // ?pna TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiographs ___ through ___. | Slightly increased opacity and worsening atelectasis in the right upper lobe suggesting residual infectious or neoplastic process. A subtle pneumonia cannot be excluded. If there is clinical concern for pneumonia a CT should be obtained. |
13050559 | A Port-A-Cath again terminates at the cavoatrial junction. There is marked increased opacity in the right upper lobe suggesting pneumonia superimposed on background abnormalities of the lobe including volume loss and treatment-related changes. Elsewhere the lungs appear clear. There are no pleural effusions or pneumothorax. | 52787171 | EXAMINATION: Chest radiographs. INDICATION: Fever. Question pneumonia. COMPARISON: Radiographs from ___, and scout view from more recent chest CT performed on ___. TECHNIQUE: Chest, PA and lateral. | Increasing right upper lobe opacity suggesting pneumonia. |
13050559 | No significant interval change. Stable radiographic appearance and size of the right paratracheal opacity. Stable loss of right lung volume. The large opacity at the right lung base probably reflects a combination of a subpulmonic right pleural effusion with lateral-shift of the right diaphragm apex and adjacent atelectasis. Stable small right apical pneumothorax. No new focal consolidation. No left pleural effusion. The cardiomediastinal silhouette is unchanged. No change in the position of the right Port-A-Cath or mediastinal surgical clips. Small amount of sub-cutaneous emphysema in the right lower lateral thoracic wall at the prior site of chest tube insertion. No acute osseous abnormality. | 52657655 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with mediastinal non-Hodgkin's lymphoma, status-post right thoracotomy and right upper lobectomy with hand-sewn closure and intercostal muscle buttress; evaluate for interval changes. COMPARISON: Portable chest radiographs dated ___ and ___. | Stable radiographic appearance of the right paratracheal opacity. Stable, large right subpulmonic pleural effusion and atelectasis. Stable, small right apical pneumothorax. |
13050559 | Port-A-Cath terminates in the lower SVC. Cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax. Multiple surgical clips project over the mediastinum. A new surgical clip projecting over the left hemidiaphragm was not present on the prior radiograph or CT and may have been dislodged from the mediastinum. | 54509186 | INDICATION: ___ year old man with lymphoma // Fever; body aches. Assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No evidence of pneumonia. |
13758112 | Linear left basilar opacity is likely atelectasis versus scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 50265085 | INDICATION: ___ year old woman with cough/fevers. // r/o PNA TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ chest x-ray. | No acute cardiopulmonary process. |
13199590 | The lungs are clear. There is no consolidation, effusion, pneumothorax or vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. | 59110592 | INDICATION: ___M with new onset SOB and palpitations in the setting of recent weight gain. // ?edema TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest x-ray from ___. | No acute cardiopulmonary process. |
13631753 | PA and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 55330728 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // ? acute process COMPARISON: None | No acute intrathoracic process. |
13631753 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 58299861 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with R shoulder and back pain s/p EGD yesterday. // assess for pneumoperitoneum COMPARISON: ___ | No acute intrathoracic process. |
13502274 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Chronic right rib fracture | 52834457 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with asthma // left mid lung opacity follow up for resolution TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___. | No acute cardiopulmonary abnormality. |
13591339 | The heart is normal in size. There is mild unfolding of the thoracic aorta as seen previously. The mediastinal and hilar contours appear unchanged. There is mild reticular abnormality including Kerley B lines suggesting mild interstitial edema or fluid overload. The extreme left costophrenic angle is excluded but there is no definite evidence for pleural effusions. There is no pneumothorax. | 52987096 | CHEST RADIOGRAPH HISTORY: Hypotension. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | Findings suggesting mild vascular congestion. |
13591339 | Cardiomediastinal silhouette is within normal limits. No focal consolidation or pulmonary edema. Small bilateral effusions are noted. Coarsening of the bronchovascular markings and hyperinflation is stable. No pneumothorax. Degenerative changes of the bilateral shoulders are again noted. | 50807832 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever to 102 and neck pain today as well as stiff neck. Evaluate for consolidation. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph of ___. | No focal consolidation concerning for pneumonia. Small bilateral effusions. |
13066682 | PA and lateral chest views were obtained with patient in upright position. Available for comparison is a preceding chest examination dated ___. As before, there is moderate cardiomegaly with a configuration indicative of left ventricular enlargement. Thoracic aorta is mildly widened and elongated and shows calcium deposits in the wall, mostly at the level of the arch. There is, however, no evidence of local aortic contour abnormalities. The pulmonary vasculature is not congested. There is now a parenchymal infiltrate on the right lung base and the lateral view confirms this finding in the form of some hazy parenchymal densities and a peripheral plate atelectasis in the right lower lobe posterior segment. No other acute abnormalities are seen; however, the lung bases have a generally hyperinflated appearance suggestive of COPD. When comparison is made with the preceding chest examination obtained ___ years ago, the moderate cardiac enlargement existed already at that time. There existed also a few for pneumonia suspicious infiltrates on the right base, but they have changed their appearance to some degree. | 57417826 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with cough, evaluate for pneumonia. | Pneumonic infiltrate in right lower lobe posterior segment. Moderate cardiac enlargement but no evidence of CHF. Followup chest examination after treatment is recommended in approximately two weeks. |
13562477 | Bilateral mild and diffuse pulmonary opacities is likely mild pulmonary edema. Increased retrocardiac density reflects left lower lung atelectasis. Aorta is mildly tortuous and moderately calcified. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Small left pleural effusion is presumed. | 54236220 | INDICATION: ___-year-old woman concerning for seizure activity, query infectious process or acute pulmonary disease. TECHNIQUE: Single portable supine chest view was reviewed, no prior chest radiographs were available for comparison. | Mild pulmonary edema and left lower lung atelectasis. Small left small pleural effusion is presumed. |
13562477 | Bibasilar hazy interstitial opacities have increased since the exam yesterday at noon. Bilateral layering pleural effusions have increased. A left-sided PICC line tip remains at the cavoatrial junction. Aortic arch calcifications are unchanged. Mild cardiomegaly is unchanged. No pneumothorax is present. | 55149334 | INDICATION: ___-year-old woman with tachypnea, evaluate for infiltrate. COMPARISON: ___ through ___. | Interval increase in bibasilar pleural effusions. |
13562477 | A single portable AP chest radiograph was obtained. Left-sided PICC line terminates in the low SVC. Lung volumes are low. The cardiac silhouette remains mildly enlarged. Widening of the superior mediastinum is likelye due to prominent vessels. Left retrocardiac opacity and left greater than right small pleural effusions are unchanged. No new consolidation to explain decreased breath sounds at right base. Aortic arch calcifications are unchanged. A Dahboff tube has been removed. | 58687673 | INDICATION: ___-year-old woman with altered mental status, decreased breath sounds at the right base, rule out aspiration. COMPARISON: ___ through ___. | Stable appearance of mild cardiomegaly, pulmonary vascular congestion and bibasilar pleural effusions. |
13562477 | Single portable frontal chest x-ray demonstrates no acute intrathoracic process. Blunting of the costophrenic angles with fluid seen in the minor fissure represents trace bilateral pleural effusions which are unchanged from prior study. The cardiac silhouette is enlarged with stable left ventricular predominance. Calcifications are again noted within the aortic arch, as are clips within the left neck. There is no pneumothorax. There are no suspicious osseous lesions. | 56866336 | INDICATION: Altered mental status with history of seizures, evaluate for infectious process. COMPARISON: ___. | Probable tiny bilateral pleural effusions, unchanged from prior. No acute intrathoracic process. |
13719169 | PA and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Eventration of the anterior right and left hemidiaphragm noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 53920699 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with 8 days of dizziness and 1 day of chest pain/pressure COMPARISON: ___ | No acute intrathoracic process. |
13585656 | Lungs are free of focal consolidations, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. Mild dextroscoliosis. No acute osseous abnormalities. | 53008414 | EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old woman with cough, malaise. Hx of asthma. Current sinusitis. // R/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ | No acute intrapulmonary process. |
13585656 | The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. There is no free air. Mild degenerative changes are noted along the mid thoracic spine near the site of maximum mild-to-moderate rightward convex curvature. | 58246023 | CHEST RADIOGRAPHS HISTORY: Right upper quadrant pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease including no free air. |
13733398 | Frontal and lateral chest radiograph demonstrates minimal streaky opacity projecting over the lower thoracic spine, likely corresponding to opacity seen in a retrocardiac distribution. The lungs are otherwise clear without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. | 55953860 | HISTORY: ___-year-old male with HIV and non-productive cough, rule out pneumonia. COMPARISON: None. | Possible left lower lobe pneumonia. |
13733398 | Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. | 56944045 | HISTORY: Cough, nausea, vomiting, diarrhea, and HIV positive. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13733398 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 50258545 | INDICATION: Chest pain. COMPARISON: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process. |
13733398 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable. No displaced fracture is seen. | 55849694 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Upper back pain. COMPARISON: ___. | No acute cardiopulmonary process. |
13733398 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable since ___. | 54386255 | HISTORY: HIV presenting with lightheadedness, vomiting. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13555521 | Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.No pleural effusion or pneumothorax. Slightly prominent bulge superior to the right heart border is nonspecific and can be seen in the setting of a proximal ascending aortic aneurysm. A tortuous aorta is noted. Heart size and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. | 54262418 | WET READ: ___ ___ ___ 1:24 AM Possible proximal ascending aortic aneurysm. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Strong family history of GI cancer with dysphasia, gastritis and reflux symptoms x___ years with 20 pound weight loss in 2 months. Assess for mediastinal mass. COMPARISON: None. | Possible proximal ascending aortic aneurysm. |
13850557 | AP and lateral views of the chest. Right subclavian central venous catheter ends in the mid-to-low SVC. There is no kink within the catheter. Heart size is normal. There is no focal consolidation, pleural effusion or pneumothorax. A large calcified lymph node in the epicardial space is again seen. | 59385648 | INDICATION: Lymphoma, evaluate port placement. COMPARISON: CT chest on ___. | No acute cardiopulmonary process. The right subclavian central venous catheter appears in appropriate position. |
13850557 | 3.6 x 2.2 cm partially calcified ovoid lesion along the anterior medial right middle lobe is unchanged since ___ and previously characterized as a calcified internal mammary lymph node. The lungs are mildly hyperinflated with flattening of diaphragms and are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. | 58346778 | WET READ: ___ ___ ___ 9:41 AM 1. No pneumonia. 2. Emphysema or chronic obstructive pulmonary disease. WET READ VERSION #1 ___ ___ ___ 5:27 AM No acute cardiopulmonary process. Specifically, no pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___M with vertigo on experimental drug for lymphoma. Assess for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: CT chest with contrast ___. | No pneumonia. Emphysema or chronic obstructive pulmonary disease. Calcified prevascular or internal mammary lymph node. |
13783774 | Single supine AP portable chest radiograph obtained. The tip of the endotracheal tube resides approximately 5 cm above the carina. The NG tube courses into the left upper abdomen, tip excluded from view. The lungs are clear bilaterally. Heart size is normal. Mediastinal contour is widened likely secondary to an unfolded thoracic aorta. Bony structures appear grossly intact. | 57652800 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Large intracranial hemorrhage, assess ET tube. | Appropriately positioned ET and NG tubes. Widened mediastinal contour likely secondary to tortuous thoracic aorta. Please note in the setting of trauma if there is concern for mediastinal hematoma/aortic injury CT may be performed to further assess. |
13799172 | The cardiac, mediastinal and hilar contours appear unchanged. There is an eventration of the right hemidiaphragm, as before. There is no pleural effusion or pneumothorax. The lungs appear clear. There is mild anterior wedging of two lower thoracic vertebral bodies at which point kyphotic curvature is mildly exaggerated. These deformities appear chronic with some increased loss in vertebral body heights and new anterior osteophytes since the remote prior examination. | 52777352 | CHEST RADIOGRAPHS HISTORY: Tachycardia and leukocytosis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No definite evidence of acute disease. |
13136771 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 54967010 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, inspirational, pleuritic COMPARISON: CT heart ___ | No acute intrathoracic process. |
13552677 | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 55610663 | INDICATION: ___F with sob // sob TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13552677 | Heart size is normal. Prominence of central pulmonary vascularity is unchanged. The lungs are clear. Bilateral bronchial wall thickening is present and is more conspicuous than on the prior study. Focal pleural thickening at right costophrenic sulcus laterally appears unchanged. No acute skeletal findings. | 54575406 | PA AND LATERAL CHEST ___ COMPARISON: ___ radiograph. | No areas of consolidation to suggest the presence of pneumonia. Bronchial wall thickening, which could reflect bronchitis in the appropriate clinical setting. Enlarged central pulmonary artery suggesting pulmonary arterial hypertension. |
13552677 | Bedside AP radiograph of the chest demonstrates persistent bilateral diffuse opacities, consistent with stable mild pulmonary edema. The lung volumes are lower on today's study, exaggerating heart size. There is no pneumothorax or pleural effusion. Minimal bibasilar atelectasis is also seen. An endotracheal tube once again terminates no less than 3 cm above the carina. An orogastric tube courses to the stomach and inferiorly below the field of view. | 58084488 | INDICATION: Evaluate for interval change in pulmonary edema in patient requiring intervention during gynecologic operation for presumed flash pulmonary edema and a history of HIV. COMPARISONS: Most recent radiograph from ___ and older studies from ___ and as far back as ___. | Persistent mild pulmonary edema, without appreciable vascular engorgement or cardiomegaly, raises suspicion of noncardiogenic causes. Given the patient's history of HIV, and the similar radiographic appearance of atypical pneumonia, this finding should be correlated with clinical symptoms of infection, and followed closely with follow-up radiographs. |
13850301 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures appear within normal limits. | 57349622 | CHEST RADIOGRAPHS HISTORY: Chest and bilateral rib pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13376172 | Re-demonstration of median sternotomy wires and surgical suture material over the mediastinum is again noted. There is no evidence of pneumothorax or pleural effusions. The heart size is grossly stable. Old healed right rib fractures are again noted. There is no evidence of pneumoperitoneum. | 51758354 | PA AND LATERAL RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old female with neutropenic fever, evaluate for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: ___. | No acute intrathoracic process. |
13129822 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 50149428 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cp // r/o infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13823356 | Cardiomediastinal contours are within normal limits and without change since the baseline radiograph of ___, as well as older radiographs dating back to ___. Nonspecific pleural and parenchymal scarring are present at the left lung base adjacent to the lateral costophrenic sulcus. Additionally, there is apparent diffuse bronchial wall thickening present. | 55796684 | PA AND LATERAL CHEST ___ ___ COMPARISON: ___ radiograph. | Diffuse bronchial wall thickening, which may be due to chronic or acute bronchitis. Localized pleural and parenchymal scarring at left lung base, without change from prior studies. |
13182801 | There is evidence of volume loss in the right chest with right apical pleuroparenchymal scarring. Suture chained material and multiple surgical clips are noted along the right upper mediastinal border suggesting prior lung resection. There is no evidence of focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is mild calcification of the aortic knob. No acute osseous abnormality is detected. There are multilevel degenerative changes, predominantly in the lower thoracic spine. | 52225664 | WET READ: ___ ___ ___ 3:44 PM 1. Evidence of prior right chest surgery with right apical pleuroparenchymal scarring but no prior studies available for comparison. 2. No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: ___-year-old man with chest pain // r/o acute process TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None. | Evidence of prior right lung resection with right apical pleuroparenchymal scarring but no prior studies available for comparison. No evidence of acute cardiopulmonary process. |
13182801 | Compared with prior radiographs on ___, there is new consolidation in the left lower lobe. No pleural effusion or pneumothorax is seen. There is no vascular congestion. There are stable postsurgical changes in the right chest. | 50548452 | EXAMINATION: PA and lateral views of the chest INDICATION: ___ year old man with rales at left base and cough // ?lll pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___ | Left lower lobe pneumonia. |
13625532 | There is increased retrocardiac density and obscuration of the left hemidiaphragm, consistent with left lower lobe collapse and/or consolidation. A small amount of left pleural fluid cannot be excluded. The cardiomediastinal silhouette is partially obscured, but the heart does not appear frankly enlarged. The mediastinum remains midline. There is platelike atelectasis in the right mid zone. A small (4.3 mm) rounded density in the right upper zone laterally overlying the right third anterior most likely represents a calcified granuloma. The lungs are otherwise clear, without focal infiltrate, CHF, or right pleural effusion. No pneumothorax detected. | 54416583 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman w/ gallstone pancreatitis s/p ERCP with tachycardia and mild hypoxia // ___ year old woman w/ gallstone pancreatitis s/p ERCP with tachycardia and mild hypoxia COMPARISON: None. | Left lower lobe collapse and/or consolidation, with possible small left effusion. Minimal atelectasis right base. No CHF . Probable small granuloma right upper zone laterally. |
13657911 | Right-sided Port-A-Cath tip terminates in the low SVC. Cardiac and mediastinal contours are unchanged with post radiation changes and scarring seen in the right upper paramediastinal region. Patient is status post right upper lobectomy with unchanged elevation of the right hemidiaphragm indicative of volume loss. Blunting of the right costophrenic angle is similar, compatible with known pleural thickening. No focal consolidation, pleural effusion or pneumothorax is identified. The pulmonary vasculature is not engorged. Moderate multilevel degenerative changes are seen in the thoracic spine. Known metastases involving the right fourth and fifth anterior ribs are poorly assessed on this exam. | 51954546 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with lung cancer and dyspnea on exertion TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, ___ chest CT | No acute cardiopulmonary abnormality. Status post right upper lobectomy with similar post treatment changes in the right upper paramediastinal region. |
13849116 | Heart size is top normal. The mediastinal and hilar contours are within normal limits. The lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized. Diffuse idiopathic skeletal hyperostosis is re- demonstrated in the imaged thoracic spine. | 52027332 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with severe headache/ altered mental status, left shoulder pain after fall. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: CT chest ___ | No acute cardiopulmonary abnormality. |
13849116 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 54365178 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with productive cough // acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13385481 | Since the prior study of ___, there is increased pulmonary vascular congestion and diffuse interstitial abnormality. Peribronchial cuffing is moderate. No pleural effusion or focal consolidation. Heart size is mildly enlarged, as before. | 58733600 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough/fever // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Diffuse interstitial abnormality and peribronchial cuffing compatible with small airway inflammation. |
13527612 | PA and lateral radiographs of the chest. There is a subtle opacity obscuring the left hemidiaphragm. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 51192929 | INDICATION: Fever and cough. COMPARISON: None. | Findings concerning for early left lower lobe pneumonia. |
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